NPIMap

Organization Active NPI

Elevate Wellness Chiropractic LLC

Doing business as ELEVATE Wellness & Chiropractic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1508491200
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATE WELLNESS CHIROPRACTIC LLC
Doing business as
ELEVATE Wellness & Chiropractic
Practice address
4515 SW Corbett Ave
Portland, OR 97239-4289
Phone
(503) 224-5454
Fax
(503) 386-2626
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Juratovac, DCNPI 1760921886
Title
Owner
Phone
(503) 224-5464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

4515 SW Corbett Ave
Portland, OR 97239-4289

Mailing address

4515 SW Corbett Ave
Portland, OR 97239-4289
Phone (503) 224-5454

Other names 1

  • ELEVATE Wellness & Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1508491200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394289",
            "telephone_number": "503-224-5454",
            "fax_number": "503-386-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394289",
            "telephone_number": "503-224-5454",
            "fax_number": "503-386-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "JURATOVAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-224-5464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELEVATE Wellness & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.